Provider Demographics
NPI:1528249539
Name:KLUPT, FAYE DELLA (OTR L)
Entity type:Individual
Prefix:MRS
First Name:FAYE
Middle Name:DELLA
Last Name:KLUPT
Suffix:
Gender:F
Credentials:OTR L
Other - Prefix:MISS
Other - First Name:FAYE
Other - Middle Name:DELLA
Other - Last Name:WOLFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 THISTEL DELL COURT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4526
Mailing Address - Country:US
Mailing Address - Phone:410-363-6236
Mailing Address - Fax:410-363-3487
Practice Address - Street 1:7 THISTEL DELL COURT
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4526
Practice Address - Country:US
Practice Address - Phone:410-363-6236
Practice Address - Fax:410-363-3487
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01519225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist